Individual provider Active NPI

Eric M Larson, M.D.

  • Ophthalmology Physician
  • Oshkosh, WI
National Provider Identifier
1275513467
Registry record updated Jul 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
45716 Issued in WI
Practice address
1885 West Pointe Dr
Oshkosh, WI 54902-4174
Phone
(920) 232-6550
Fax
(920) 232-6552
NPI assigned
Jan 23, 2006
Last updated
Jul 16, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 45716 WI Primary

Addresses

Primary practice location

1885 West Pointe Dr
Oshkosh, WI 54902-4174

Mailing address

PO Box 2723
Oshkosh, WI 54903-2723
Phone (920) 232-6550

Other identifiers 1

IdentifierTypeStateIssuer
34413200MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080501000073 WI Practitioner - OphthalmologyPractitioner - Optometry 7315026465 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Minnesota Medical School, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1885 W Pointe Dr
Oshkosh, WI 54902-4174
Phone (920) 232-6550

210 Wisconsin American Dr
Fond Du Lac, WI 54937-2999
Phone (920) 907-7000

2130 S Washburn St
Oshkosh, WI 54904-8949
Phone (920) 232-6550

225 Memorial Dr
Berlin, WI 54923-1243
Phone (920) 361-1313

269 Memorial Dr
Suite 102
Berlin, WI 54923-1243
Phone (800) 876-8182

355 N Peters Ave
Fond Du Lac, WI 54935-8258
Phone (800) 876-8182

501 Doctors CT
Oshkosh, WI 54901-2025
Phone (920) 236-3550

800 Riverside Dr
Waupaca, WI 54981-1943
Phone (715) 258-1000

900 Riverside Dr
Waupaca, WI 54981-1983
Phone (920) 232-6550

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.33 of 100Reported as group
Quality
98.33
Improvement activities
40
Cost
100

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery502

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
45716WIMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Optivision Eye Care LLP Ophthalmology Current Accepting new patients
Optivision Eye Care LLP Current Accepting new patients
Northeast Wisconsin Vision Center, LTD. Ophthalmology CurrentSince Aug 1, 2003 Accepting new patients
Northeast Wisconsin Vision Center, LTD Ophthalmology CurrentSince Aug 1, 2003 Accepting new patients
Ambulatory Surgical Center, LLC CurrentSince Mar 19, 2021 Accepting new patients

Locations

269 Memorial Dr
Ste 102
Berlin, WI 54923
Phone (800) 876-8182

210 Wisconsin American Dr
Fond du Lac, WI 54937
Phone (920) 907-7000

355 N Peters Ave
Fond du Lac, WI 54935
Phone (920) 921-7121

1885 West Pointe Dr
Oshkosh, WI 54902
Phone (920) 232-6550

2130 S Washburn St
Oshkosh, WI 54904
Phone (920) 232-6550

900 Riverside Dr
Waupaca, WI 54981
Phone (920) 232-6550

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373932800000",
    "number": "1275513467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2723",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549032723",
            "telephone_number": "920-232-6550",
            "fax_number": "920-232-6552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1885 WEST POINTE DR",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549024174",
            "telephone_number": "920-232-6550",
            "fax_number": "920-232-6552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "ERIC",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2013-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WI",
            "license": "45716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34413200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oshkosh, WI

Sources for this page

Verify at the official NPI Registry.